Individual
MADELINE KAE MOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3075 N MAIN ST, SPANISH FORK, UT 84660-9506
(801) 851-7689
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12437883-3502
UT
1041C0700X
Clinical Social Worker
Primary
12437883-3502
UT
Other
Enumeration date
08/05/2024
Last updated
05/14/2026
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